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08100055 CITY OF CUPERTINOax ..� BUILDINGDIVISIOih PERMIT "'CCSNTRACTORINFORMATIIONN - BUILDING ADDRESS: PERMITN0. 10202 VISTA DR ALL SEASONS ROOFING SERVICES 08100055 OWNER'S NAME: PERMIT ISSUE DATE SYED FARIDUL HAQ 1720 SMITH AVE 10/10/2008 NE: SANITARY NO. CONTROL NO. ARCHrfECT(ENGINEER: BUILDING PERMIT INFO 10202&10208 VISTA DR;RE-RF BLDr ELECT f� PLO O o p LICENSED CONTRACTOR'S DECLARATION I beeby aat 1 atm lisn¢d comer Presiaians of ChA mr 9(mmm ing ,, •• ^^-- - -••• ^••^ ,• Ol2 Description rftm N ZZ with Scetion 701 ofDiviaon 3 ofdm Buanes and Professions Codi,my license is ?=u, in full forte an p to 2 Licenm ass - Lk.N n r p Dam O Co.wcmr �_S . e SS W7 AA shall be me DEC1.scAT ds ?W U 1 untlesstanJ my pion shat W tired u Public records k6 a y LLLTnfeJ PNr[aLanal OWNER-BUILDER m DECLARATION s�n E I Wreby.Inco that 1 1. uampt From the Conuxcura License Law for the OO which re resoa.(Section 7D31S.Bunnr. and w,derml Ca lc:Mycity muture $�i which requires a permit re cnmwe,almc leprose,h pai i or repair any statement prior anits issuance.sire require the applicant rorauch permitan fit asignW sutemem < that Wulicemed pSci700)of Diviom.(theeBmiessand Prof LJW(aupmr9 3q.Ft.Floor Area Valuation x�$ that �N eefrom And the basis n 3 of Ire Bu caecum Proftn y vi Gode)sur Nat W V emmp,Omrt(rom And 0m basis for the illegrd eaemptlan.Any violation or Section 7031.5 by any applicant for a permit subjects the applicant in a civil Nulty of APN Number Occupancy T notmom Nan Tion hundred dollu5W1. P Y yPes(5 ❑I.u owns of dm proptny,sur my wploym with wp3 u the4 mte compewdon, wiR do thework and the he Co 4no,immeshe Lwrit forc k(Sec.TOAs,Built•.. and Rty whe s Cade:The C thertors License law dors lm1 apply f an awmr or Required Inspections propertywhobuildsorim wt Nmcon,andwhodoessur.,workhim pound for II his own cmpldue buiprovided the such Ire is mid wit art not ear efid oroetim.for sale ff. Wilder will Wildingorden a NeentYhathwithin I Yearofcompletion,Naowrcr - Wilder will have the bunks of pmHni W,W did cot Wild or improve for puryax of sale.). ❑1.u awrcr M the property m enelu im,elY converting with[!closed smnuhanom an continue,the project(Sec 7044.Busina and Pmfmstom Code)The Commmoh Li- ve Law dors not apply an An owner of property who Wilds or improses Nemmn,and. who conwcu for such projects with a convacti licensed punuu,in the Convectors License Law. ❑IsnesempturderSec .BAPCforthureasoo Owner Date WORKERS COMPENSATION DECLARATION I Wreby.Qum under penalty of perjury oaf mf the following dslwimts: I hare and will m artud.aecr00am oreanmm As self-imt a forwarkmescompen- sation,u provided for by Section 3700 a Nm Labor Code,for Ne perfomams of the work for which this permit is issued. 0 1 have and will main sin Wores's Compensation IruWanac,as required by Section 3700M the Labor Cade,for the peforsomaofthe work for which this permit u issued. ' My Workers Comp`em_auan(Il^uunna ca er and Policy number am: Gmer7iT Policy No.: J, ).Q�.C)i CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (Thissemim need not W completed if nW permit is forces hundred dollars($I00) or leu) T cartify Wt in Nc perfomanec of the work for which this Permit u bound.l shall ire, employ any person in my summer an As As become subject an the WarkmY Compensation Laws of California.one Applicant NOTICE TO APPLICANT.If,afar making this Certificate of Exemption.you should become subject he the Work s Compmsktion previsions or the La Wr Code.you most .J 7.' forthwith comply with such provisions or this permit shat he deemed mated. zCONSTRUCTION LENDING AGENCY [-+ I Wreby affirm that Vert u a construction lending agency for the performance of CL rte-. the work for which this permit u issued(Sec.3077,Civ.C) W� Q Lenders Name z Lcuders Address U O I certify Nat I base read this application and sum that tic abow information is U. " corns I agree in comply with all tiny and county om inmI and a=laws relating in 015^JWilding construction,and hereby Ambiancertpmmmisss of Nu city m enter time theaWve-mentiolmd property—inspection purposes Fy (We)agree to save,indemnify and keep hamtrss do City of Cupertino sgaimt h liabilities,judimenu,casu and eapemma which may In any way amus against said City U vZ in cmussup.or the granting of this permit. ^ APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by:9 Date SOi REGULATIONS. Q A:'.0 �' Re-roofs Sl useof AppbcantiConaamor Dam HAZARDOUS MATERIALS DISCLOSURE Type of Roof -Will ft the applicant m future Wilding occupantstore or handle h mardous materia As de0rmd by the Cupertino Municipal Code.Chapter 9.13.and the Health and Safety Cade,Section 255324)7 All roofs shall be inspected prior to any roofing material being installed. ❑Yes Will the applicant or future Wilding occupant use equipment or devinms which If a roof is installed without first obtaining an inspection,I agree to remove i,hon] sir contsmiftsnti u defined by the Bay Area Air Quality Management all new materials for inspection. 'suict7 Yes �T O TIII SdctyC hsvdmsmete 5.2553nequ[ 255ems unnkr Chxpanrd.95afthe Gilding nia Ykalth&Safety Cad a mount. tIti my mrrm25534.I ho entande occu, Wilding Jeca nret currently halm s mnank don I,u my mpomibilitY m notify Ne acoupant of dm cxri ets which mmwW Ipioteuvncar.Cmrcamar(kcouncy. SigntureofApplicant Date gnei Q`� ��In! o b All roof coverings to be Class'/{"or better Ower or authorized agent Dam' CITY OF CUPERTINO • 2 ITEMS OF 6 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 31624045 . 00 DATE ISSUED. . . . . . . : 10/10/2008 RECEIPT # . . . . . . . . . : BS000006319 REFERENCE ID # . . . : 08100055 SITE ADDRESS . . . . . : 10202 VISTA DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : SYED FARIDUL HAQ , ADDRESS . . . . . . . . . . : 10202 VISTA DR CITY/STATE/ZIP . . . : CUPERTINO CA, 95014 RECEIVED FROM . . . . : ALL SEASONS ROOFING CONTRACTOR . . . . . . . : GORSHTEIN, VLADISLAV LIC # 21035 COMPANY . . . . . . . . . . : ALL SEASONS ROOFING SERVICES ADDRESS . . . . . . . . . . : 1720 SMITH AVE CITY/STATE/ZIP . . . : SAN JOSE, CA 95112 TELEPHONE . . . . . . . . : (408) 971-4455 eFEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---- -------- ------- -- ----- ----- -------- 1BSEISMICR VALUATION 13 , 800 . 00 1 . 40 0 . 00 1 . 40 0 . 00 1REROOFRES SQ FEET 36 . 00 468 . 00 0 . 00 468 . 00 0 . 00 ----- ------- ---- ---------- TOTAL PERMIT 469 . 40 0 . 00 469 .40 0 . 00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF • 4 l ' y Community Development Department Building Division City of Cupertino 10300 Torre Avenue Telephone: (408)777-3228 Fax: (408)777-3333 Building Department Cubject: flee-roofing policy for the City of Cupertino ---�_ 1'siQr to}zernnit issuance you must aer_ee to comply with 1997 UBC Standards and manufacturers specifications on re-roofing. ''. New roof coverings shall not be applied without first obtaining all inspection and written approval from the building inspector. A final inspection and approval shall be obtained from the building inspector when the re-roofing is completed. :i. All roofs shall be inspected prior to any roofing installation. 4. To receive a final sign off from the City, the following steps are required: 1) Pre-inspection and/or tear off approval. 2) In-progress inspection approval. 3) Final inspection approval. a) Spark arrester installation. :i. If plywood is installed, a plywood nail inspection is required. 6. Any roofing which is applied without first obtaining an inspection, will require the removal of all new material down to the sheathing, so a proper City inspection can be performed. '7. NOTE: If you call for a plywood nail inspection and the job is not ready, you will be charged a re-inspection fee of$176.18. The re-inspection fee must be paid before another inspection can be scheduled IMPORTANT: 1. Flat roofs must have a minimum of r/4 " per foot slope and demonstrate that there is no ponding. 2. An I.C.B.O. report is required to be on the job site at the time on inspection. I understand and will comply with the above stated policy on re-roofing. Homeowner's Name: `C> l� Job Site Address: `��"�J� Roofing Company Name: Applicant's Signature: 17� ���0� (.L—_./,� Date: � � Greg Casteel • Building Official Revised 11/2/04 F Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 *UPERTINO Building De artment JOB ADDRESS: PERMIT # /0Raz < /0 z0 by� © L' 00zd, s OWNER'S NAME: _ PHONE # Z/ U -216 -0217 GENERAL CONTRACTOR: " //y�_so.vsgod FAX # 4100 3.3 - qj-2 I am not using any subcontractors: &��7-09 S�Ignature Date Please check applicable subcontractors and complete the following information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets &Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting Linoleum / Wood • Glass/ Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile /0-1-09 ner/vtontractor Signature Date CITY OF CUPERTINO J REROOF CUPERTINO PERMIT APPLICATION APN # 3 / /c) C./ C) o Date: Building Address: 'e l D C;) Owner's Name: Phone #: Shed 11NA�, y�g �• do.�' pc-4 Contractor: Phone .yJ B A\\ S Fax #: f3 936 _N Cupertino Business License #: r Contractor License #: -2S o 9 1 Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles -X Asphalt Shingles -�< Wood Shakes ❑ Wood Shakes • ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) ❑ Other (Specify) Number of existing coverings ❑ Provide I.C.B.O. Report # X To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: Y,C,,no JC Qac �j S\rYn�� coo F 11 n g ,.� \ ��(0 0 "l I Ibt t O S(s Residential Commercial Green Building: Please complete relevant portion of the Confirmed with Planning Dept. if Green Building Checklist & attach it to the application or if there are any restrictions: ❑ applicable, include in plan set & the sheet index. Valuation: ):I \'! I �--c C)c) I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy: Signature Revised 6/16/08